Winn Dixie Stores Inc in Lake Park - Community/retail Pharmacy
Winn Dixie Stores Inc - NPI 1598786972
Winn Dixie Stores Inc is a Community/retail Pharmacy in Lake Park, Georgia. Winn Dixie Stores Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Winn Dixie Stores Inc is 1598786972. The last update date is 2016-06-20.
Winn Dixie Stores Inc's current location address is 1060 Lakes Blvd, Lake Park, Georgia. You can contact this provider via phone number 2295597736 and fax number 2295593190. The mailing address for Winn Dixie Stores Inc is 1060 Lakes Blvd, Lake Park, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Winn Dixie Stores Inc |
|---|---|
| Address | 1060 Lakes Blvd, Lake Park, Georgia |
| Phone Number | 2295597736 |
| Fax Number | 2295593190 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Grimm M. Sandlin |
| Telephone Number | 9047835578 |
NPI Number Detail
| NPI Number | 1598786972 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2016-06-20 |
Provider Mailing Address Detail
| Address | 1060 Lakes Blvd |
|---|---|
| City | Lake Park |
| State | Georgia (GA) |
| Post Code | 316363013 |
| Phone Number | 2295597736 |
| Fax Number | 2295593190 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 7394 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00494381A | GA | -- | |
| 101759400 | FL | -- | |
| 1137757 | OTHER ID NUMBER | ||
| 807369438A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Winn Dixie Stores Inc by the Centers for Medicare & Medicaid Services?
The Winn Dixie Stores Inc has been issued the NPI (National Provider Identifier) 1598786972 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Winn Dixie Stores Inc?
The Winn Dixie Stores Inc is situated at 1060 Lakes Blvd, in the city of Lake Park, state of GA, with the zip code 316363013.
What is Winn Dixie Stores Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Winn Dixie Stores Inc's area of specialization is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336C0003X.
On what date did the Winn Dixie Stores Inc receive its 1598786972 assignment from the Centers for Medicare & Medicaid Services?
The Winn Dixie Stores Inc was assigned its 1598786972 by the Centers for Medicare & Medicaid Services on 2006-07-21.
When was the information regarding Winn Dixie Stores Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Winn Dixie Stores Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-06-20.
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